Provider Demographics
NPI:1578835328
Name:MENIUS, MAX E JR (CSAC)
Entity Type:Individual
Prefix:
First Name:MAX
Middle Name:E
Last Name:MENIUS
Suffix:JR
Gender:M
Credentials:CSAC
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:301 E WASHINGTON ST
Mailing Address - Street 2:SUITE 101
Mailing Address - City:GREENSBORO
Mailing Address - State:NC
Mailing Address - Zip Code:27401-2993
Mailing Address - Country:US
Mailing Address - Phone:336-333-6860
Mailing Address - Fax:336-275-1187
Practice Address - Street 1:119 CHESTNUT DR
Practice Address - Street 2:
Practice Address - City:HIGH POINT
Practice Address - State:NC
Practice Address - Zip Code:27262-6803
Practice Address - Country:US
Practice Address - Phone:336-882-2125
Practice Address - Fax:336-882-8153
Is Sole Proprietor?:No
Enumeration Date:2012-02-08
Last Update Date:2012-02-08
Deactivation Date:
Deactivation Code:
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Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)